Journal of Korean Neurosurgical Society

  • 제54권2호
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  • Pages.118-124
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  • 2013
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Factors Related to Outcomes of Subthalamic Deep Brain Stimulation in Parkinson's Disease

  • Kim, Hae Yu (Department of Neurosurgery, Brain Korea 21 Project for Medical Science, Brain Research Institute, Yonsei University College of Medicine) ;
  • Chang, Won Seok (Department of Neurosurgery, Brain Korea 21 Project for Medical Science, Brain Research Institute, Yonsei University College of Medicine) ;
  • Kang, Dong Wan (Department of Neurosurgery, Brain Korea 21 Project for Medical Science, Brain Research Institute, Yonsei University College of Medicine) ;
  • Sohn, Young Ho (Department of Neurology, Yonsei University College of Medicine) ;
  • Lee, Myung Sik (Department of Neurology, Yonsei University College of Medicine) ;
  • Chang, Jin Woo (Department of Neurosurgery, Brain Korea 21 Project for Medical Science, Brain Research Institute, Yonsei University College of Medicine)
  • 투고 : 2012.07.26
  • 심사 : 2013.08.05
  • 발행 : 2013.08.28
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초록

Objective : Subthalamic nucleus (STN) deep brain stimulation (DBS) is an effective treatment of choice for patients with advanced idiopathic Parkinson's disease (PD) who have motor complication with medication. The objectives of this study are to analyze long-term follow-up data of STN DBS cases and to identify the factors related to outcomes. Methods : Fifty-two PD patients who underwent STN DBS were followed-up for more than 3 years. The Unified Parkinson's Disease Rating Scale (UPDRS) and other clinical profiles were assessed preoperatively and during follow-up. A linear regression model was used to analyze whether factors predict the results of STN DBS. We divided the study individuals into subgroups according to several factors and compared subgroups. Results : Preoperative activity of daily living (ADL) and the magnitude of preoperative levodopa response were shown to predict the improvement in UPDRS part II without medication, and preoperative ADL and levodopa equivalent dose (LED) were shown to predict the improvement in UPDRS part II with medication. In UPDRS part III with medication, the magnitude of preoperative levodopa response was a predicting factor. Conclusion : The intensity of preoperative levodopa response was a strong factor for motor outcome. And preoperative ADL and LED were strong factors for ADL improvement. More vigorous studies should be conducted to elucidate how levodopa-induced motor complications are ameliorated after STN DBS.

키워드

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피인용 문헌

  1. The treatment of Parkinson's disease with deep brain stimulation: current issues vol.10, pp.7, 2015, https://doi.org/10.4103/1673-5374.160094
  2. Factors predicting the instant effect of motor function after subthalamic nucleus deep brain stimulation in Parkinson’s disease vol.6, pp.1, 2017, https://doi.org/10.1186/s40035-017-0084-6
  3. Comparison of elderly and young patient populations treated with deep brain stimulation for Parkinson’s disease: long-term outcomes with up to 7 years of follow-up vol.131, pp.3, 2013, https://doi.org/10.3171/2018.4.jns171909
  4. Comparison of elderly and young patient populations treated with deep brain stimulation for Parkinson’s disease: long-term outcomes with up to 7 years of follow-up vol.131, pp.3, 2013, https://doi.org/10.3171/2018.4.jns171909